Topics Related to Division of Health Benefits
More than 600,000 people will gain access to quality care.
Mitigation process for any adverse impact for nursing facilities if a PASRR authorization is delayed.
Near Relatives and Legally Responsible Persons May Deliver Skilled Nursing Service to a PDN-eligible Beneficiary.
The 2024 ICD-10 update is effective Oct. 1, 2023 through Sept. 30, 2024.
NC Medicaid Direct programs will transition to NCLIFTSS by Oct. 6, 2023
Claims without the required EVV data will be denied.
Nursing Facility Providers and Intermediate Care Facilities for Individuals with Intellectual Disabilities Targeted.
The North Carolina Department of Health and Human Services (the Department) is releasing updated information about the assumptions underlying the care management component of capitation payments to NC Medicaid Managed Care Prepaid Health Plan (PHPs) Standard Plans. The PHP Standard Plan capitation rates developed by the Department reflect its belief that investment in robust community-based care management will drive improvements in care outcomes and achieve greater value from the state’s Medicaid dollar.
COVID-19 OTC Tests for home use are covered for full Medicaid enrollees through Sept. 30, 2024. Guidance for NC Medicaid coverage and the complete list of covered products are available on the Outpatient Pharmacy Services webpage. Updates to the covered products are below.